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Permanent residents age 55 or older with at least 15 years permanent residence can get U.S. citizenship without showing the ability to read, write and speak English. The English Language exemption is available also to individuals age 50 or older with at least 20 years permanent residence.
To request a disability exception, a citizenship applicant must submit not only the usual Form N-400 (used to apply for naturalized U.S. citizenship), but a filled-out Form N-648. Only a U.S. licensed medical doctor, doctor of osteopathy, or clinical psychologist can complete Form N-648.
Old age in itself is not a qualifying disability for purposes of the disability waiver. However, elderly applicants who suffer from age-related impairments that do impair learning (e.g. depression, dementia, or strokes) may be eligible for a waiver.
An applicant must write one (1) out of three (3) sentences correctly in order to demonstrate an ability to write in English. To help an applicant prepare, these word strips and copy sheets contain all the words found in the English writing portion of the naturalization test.
Who is eligible for a disability waiver? The applicant must have a medically determinable physical or developmental disability or mental impairment that causes the applicant to be unable to learn English and/or U.S. history and civics.
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Where to File Form N-648. Form N-648 should be mailed to the local United States Citizenship and Immigration office, where you have already submitted your form N-400, or it can be mailed along with it.
Old age in itself is not a qualifying disability for purposes of the disability waiver. However, elderly applicants who suffer from age-related impairments that do impair learning (e.g. depression, dementia, or strokes) may be eligible for a waiver.
About Form N-648 To complete a certification, the medical professional must use Form N-648, Medical Certification for Disability Exceptions. USCIS grants medical waivers to applicants whose condition(s) render them unable to learn or demonstrate knowledge of English and/or U.S. history and government.
Becoming a U.S. citizen through naturalization typically requires that an immigrant take and pass a set of tests. However, an immigrant who applies for naturalization can skip the English portion of the U.S. citizenship test under certain circumstances.
The US immigration system is significantly more flexible and open with regards to disability than the Canadian system. Applicants with mental or physical disabilities are only excluded if they are at risk of harmful behavior, pose a threat to either themselves or others or are likely to become a public charge.

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